利用胎儿心脏腹部心电图和多普勒超声信号无创测定心脏周期的机电时间间隔

A. Khandoker, Y. Kimura, T. Ito, M. Palaniswami
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引用次数: 9

摘要

胎儿心电图和多普勒超声信号提供有关胎儿生理状态的临床重要信息。在本研究中,我们提出了一种基于胎儿心电图和多普勒超声信号分析的无创系统来识别胎儿心脏事件的时间。采用盲源分离与参考信号提取经腹心电图(10例,孕38 ~ 41周)胎儿心电图。多分辨率小波分析使多普勒信号的频率内容与心脏瓣膜(主动脉瓣和二尖瓣)的打开和关闭联系起来。胎儿心电图R峰至主动脉瓣开启和关闭的时间间隔分别为99.16plusmn22.07 (msec)和222.70plusmn21.83 (msec)。R峰至二尖瓣开启和关闭的时间间隔分别为305.32plusmn22.71 (msec)和37.84plusmn18.23 (msec)。
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Non-invasive determination of electromechanical time intervals of cardiac cycle using abdominal ECG and Doppler ultrasound signals from fetal hearts
Fetal ECG and Doppler ultrasound signals provide clinically significant information concerning the physiological state of a fetus. In this study, we propose a non-invasive system to recognize the timings of fetal cardiac events on the basis of analysis of fetal ECG and Doppler ultrasound signal together. Fetal ECG was extracted from transabdominal ECG (10 normal subjects, 38-41 weeks of gestation) using blind source separation with the reference signal. Multiresolution wavelet analysis enabled the frequency contents of the Doppler signals to be linked to the opening and closing of the heartpsilas valves (Aortic and mitral). The time intervals from R peak of fetal ECG to opening and closing of aortic valve were found to be 99.16plusmn22.07 (msec) and 222.70plusmn21.83 (msec) respectively. The time intervals from R peak to opening and closing of mitral valve were found to be 305.32plusmn22.71 (msec) and 37.84plusmn18.23 (msec) respectively.
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